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Medicare Regulations for Outpatient Therapy Practices

Program Details:
March 26, 2026 | 1:00pm-5:00pm
Modality:
  • In-person
Registration Fee(s):
Free to $75.00
View flyer (PDF)
Additional Details
Instructional Hours:
4.00
Registration Deadline:
3/25/26 12:00 PM
Cancellation Deadline:
3/25/26 11:59 PM
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Presenter(s)
Description
Medicare regulations for outpatient therapy are extensive and confusing. This course will cover all the key regulations for outpatient therapy and will assist therapists in understanding and applying this information in their daily practice. Myths that persist will be dispelled. Common audit flags will be presented, and therapists will learn strategies to ensure that their documentation meets regulatory requirements.

Keywords: medicare, medicare regulations, PT, PTA, physical therapist, physical therapy assistant, OT, occupational therapist, OTA, occupational therapy assistant

Objectives

At the completion of this activity, participants will be able to:

  • Distinguish between services covered by Medicare Part A, Part B, and Part D.
  • Explain the Outpatient Medicare physician fee schedule and how it applies to therapy services.
  • Understand the outpatient therapy threshold issue, and when it’s appropriate to utilize the KX modifier.
  • Explain key documentation requirements for outpatient therapy for Medicare Patients.
  • Explain how Medicare views treatment by Aides and Students in various settings.
  • Discuss the principles of medical necessity for restorative and maintenance care.
Disclosures
No disclosure available
Credits Available
  • Physical Therapy, PTA
    SC Board of Physical Therapy
    • Consortium Members:
      • Regular: Free (Until 3/25/2026)
    • All Others:
      • Regular: $75.00 (Until 3/25/2026)
    Credit Statement
    Upstate AHEC, a division of South Carolina AHEC, approves this program for the following credit hours as defined by the SC Board of Physical Therapy Examiners: 4 
  • OT, OTA
    SC Board of Occupational Therapists
    • Consortium Members:
      • Regular: Free (Until 3/25/2026)
    • All Others:
      • Regular: $75.00 (Until 3/25/2026)
    Credit Statement
    South Carolina AHEC has presumptive approval as a provider of continuing education for Occupational Therapists by the SC Board of Labor, Licensing, and Regulation Board of Examiners for Occupational Therapy. Upstate AHEC, a division of SC AHEC, approves this program for the following contact hours: 4
  • All Other Participants
    Area Health Education Consortium
    • Consortium Members:
      • Regular: Free (Until 3/25/2026)
    • All Others:
      • Regular: $75.00 (Until 3/25/2026)
    Credit Statement
    This program provides 0.4 CEUs by Upstate AHEC and meets South Carolina AHEC Best Practice Standards.
Locations/Participation Options
  • AnMed Health (Better Future Rooms)
    Location:
    Anderson , SC Details
    Status:
    Open
Contact(s)

If you have questions about the credits, location/video conference information, or any other details specific to this particular program, please reach out to the contact(s) below:

  • Name:
    Brandi England
    Phone:
    864-508-6302
    Email:
    bengland@upstateahec.org
  • Name:
    Belinda Cowan
    Phone:
    864-349-1160
    Email:
    bcowan@upstateahec.org
If you have questions related to registering or using the AHEC Learning Portal, please contact alp@scahec.net.

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